Date of Award

May 2020

Degree Type


Degree Name

Doctor of Philosophy (PhD)


Marriage and Family Therapy


Deborah Coolhart

Second Advisor

Melissa Luke


Gender Dysphoria, LGBTQ, Sex, Sexuality, Trans Masculine, Transgender

Subject Categories

Social and Behavioral Sciences


Literature that addresses sexual issues pertaining to sexual satisfaction is often not inclusive and neglects transgender, specifically trans masculine, identities. The media frequently highlights physical transitions but ignores the distressing psychological effects of dysphoria on sexual satisfaction and the influence of sexual partners during sex. In this quantitative study informed by a systemic gender affirmative lens, trans masculine adults (N=1,041) responded to a questionnaire on their experiences of transgender congruence, sexual satisfaction, and affirmative sexual partners. Data analyses revealed diverse participant and partner demographics. The transgender congruence variable expressed group differences based on gender/sexual identity, age, and medical transition. An affirmative sexual partner increased sexual satisfaction through aspects of safety, connection, attraction, support, feedback, and communication. Affirmative sexual partners moderated the experience of transgender congruence and sexual satisfaction for the trans masculine participants. In conclusion, sexual partners can positively impact sexuality by providing affirmation that increases sexual satisfaction for trans masculine people as they experience varying degrees of transgender congruence.


Open Access

Available for download on Sunday, August 15, 2021